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HomeMy Public PortalAbout5516 HALLOWELL AVE_Electrical__ 768663-CE60610/72 APPLICATION FOR EL TICAL PE - �- COUNTY OF LOS ANGELES *DEPARTMENT OF COUNTY ENGINEER ADDRESS 3 3A HAL i 0 L"CI—BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. V /� 0 AK OUTLETS NO EACH FEE OWNER OR �P fr $ $ FIRM NAME F/A fi r N v 1 RECEPT._ MAIL FIRST 20 25 ADDRESS `��'l 6 IQ L L O �✓6 (. LIGHT TOTAL CITY 7'9 r"I Pd. E; j'? TEL. NO. yY,S- y'S� SWITCH OVER 20 10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES 1 1 c1rY TEL. N0. PERMITp RANGE DRYER WTR. HTR. APPLICANT �r v STA. COOK DISP. F.A.U. ADDRESS ' SPACE HTR, AIR COND. '•CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE d 1 - 10 300 DESCRIP.ED RESIDENTIAL PROPERTY. 0 U 10 - 50 500 PERMITEE SIGNATURE "' p F- 50 - 100 1000 C') DISTRICT NO. P D BY LLL C/ 100 - SOO 1500 Q N 8 Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.DO WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED C UTILITY CO.,NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: t . PLAN CHECK FEE Vo i/ PERMIT ISSUING FEE 300 < TOTAL FEE PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK M 0 CASH C a 6 473 MAR 19 2 D 6.0 0— SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE \` 76A663 DBS 5A 11-50 APPLICATION FOR PERMIT ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� I 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN 7W - RECEIVED BY READY FOR�Ii - DATE ISSUED ADDRES yy ��qy FIRST INSPECTION@ CITY +� TEL. >a .J ' COUNTY LICENSE NO. / -3 EXPIRES BUILDING PERMIT FEES ADDR Ess FEE • NUMBER EACH LOCALITY ' LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER ` TOTAL OUTLETS Sc $ MAIL ELEC. RANGES P5 ADDRESS - ELEC. HEATERS 25 - CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE -ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS •THE. ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER I INC. EACH . J/ 1/2 a I_Ess =2.50 SIGNATURE OF ,y,, ��1/2 2PE /2 5 INSPECTION RECORD 5 '15 ��z15 '-s0 s0 200 200 Boo 10.00 J P4500 1000 15.00 OVER 1000 20.00 _ z M. G. SET/FREQ. CHANGER-HP O WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA ' TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO. TRANS. - APPROVALS - , LNO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1:00 FIXTURES $1.00 WIRING / O SUPPLEMENTARY .50 �D FIXTURES ' POWER TOTAL FEE $ I7J UTILITY CO. NOTIFIED 0 FINAL 7SA663 D68'SA 3-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES . ELECTRW - 1 WILLIAM J.-FOX,-CHIEF ENGINEER FOR APPLIJrA T TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. )5 O�- ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL. Z � IGK COUNTY LICENSE NO. EXPIRES BUILDING /L.�I PERMIT FEES ADDRE89 V � FEE NUMBER EACH LOCALITY LIGHT OUTLETS 14Y NEAREST RECEPTACLES CROSS ST. ' WALL SWITCHES �i I OWNER TOTAL OUTLETS 5C $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 .Q 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THi6 MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT it NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. s MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. H� OVER INC. EACH OF THE RESIDENTIAL PROPERTY ESCRIBED ABOVE. 6 LESS III .25 SIGNATURE OF '/2 2 _ .50 PERMITTE 2 5 t.no INSPECTION RECORD _ 5 15 1.50 15 50 2.50 �~1 7 5O 200 5.00 zoo 5DD 10.00 AL -r Q .500 1000 15.00 Z OVER 1000 20.00 Q M.O. SET/FREQ. CHANGER-HP �' dAlT� �'� ji WELDERS:AC-KVA kl O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRID.) � MOVED MOTORS (75% OF ORIG.) ` 4 /� r t 004 Laen CLI AAJ. MISC. �il�Gu SIGNS enoowu4d/J .-AQ s NO. NO.TRANS. NO. NO. LAMPS DATE INt PWTOR'B NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING •''r/ ��— //b SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO.NOTIFIED FINAL z WORKERS' COMPENSATION DECLARATION '20-0019 DPW APPLICATION FOR ELECTRICAL PERMIT O I hereby,offirm that I have a certificate of consent to self CE"� 'insure, op o'certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab. C.) Policy No Company FOR APPLICANT TO FILL IN JOB �J Certified-copy is hereby-furnished. New-Residential Bldgs & Pools EACH NO FEE ADDRESS e o LoLaf✓fiLL Certified copy is filed with,the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY cADJA 9O O tion department. Multi-family Sq. F1. NEARESTCROSS ST. Residential Swimming Pools OWNR OR _ ao Date Applicant FIRM'NAME O CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets. RecLights ,_Sw COMPENSATION INSURANCE 0 ADDRESS.: J G HALL 0 First 20 (This section need not be completed if the work involved by CITY Total No. Additional C��Ithe permit is for one hundred dollars ($100)orless.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any peison in any manner so as to become•subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Dote Applicant Total No.!— - CITY NOTICE TO APPLICANT. If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven Dryer —W M.— } ADDRESS with comply with such provisions or this permit shall be Top - •— FAU —W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood Fan Other— 9 Disp. Room Air Cond. — REG. NUMBER OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of_the Business Power Apparatus& Large Appliances DISTRICT NO. P O ESSED BY >_ and Professions Code,and my license is in full force and effect. t1 Size &Type HP, KW, KVA, or KVAR o License Number Lic. Class Up to 1 Incl. FINAL U Contractor Date Over 1 to 10 Incl. DATE Z�Z�L VALIDATION 0 El Over 10 to 50 Incl FINAL O I am exempt under Sec. Over 50 to'100 Inc. BY W \ A�Z B&P.C. for this reason Over 100 d Services, SwbdZ ., MCC & Ponelboards Z Date' 0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V i Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances ! 'HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT ! Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits �__� Professions Code): �_I{� ?_.i" ® I, as owner of the property, will do-the work and the Misc. Conduits& Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— Business and Professions Code) ' '— CONSTRUCTION LENDING AGENCY .'HECK 5• e j' I hereby affirm that there is a construction lending cigency for f.li14 fT1= the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ C ) 1 PLAN CHECKING FEE _ Lender's_Name -t=° ).. ? �� 1:• e_ PERMIT ISSUING FEE ,i_.. Lender's Address - 1' f tl€ .i n�°i` I certify that I have read this application and state that the TOTAL FEE above information'is correct. I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned pr perty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sign tur f Permittee Date Os affirm that COMPENSATION-DECLARATION CE-806 to/et APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab. C ) Policy No Company FOR APPLICANT TO FILL IN B ❑ Certified co is hereby furnished. ADDRESS �. /-0 AL L O 1v 17 G 1. PY Y New Residential Bldgs. & Pools EACH NO FEE YS — ��jq 1 ❑' Certified copy is filed with the county building inspec- 1 & 2-Family,'Sq Ft. CAS. $ — $ LOCALITY tion department Multi-family Sq. Ft NEAREST Residential Swimming Pools O ROSS ST .L 1 v_ Date Applicant OWNER OR RM NAME lett 9,60 FAA !"IVa CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets- Rec'C9 bahtlSw. LTAN AILDRESSS 'I ` 1.4 AL LV 4v CC 1 COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by Total No Additional TYArt�C��j�� CAL., Tel No.q� the permit Is for one hundred dollars ($100)or less.) - CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person-in any manner D so as to become sublect to the Workers"Co pensation ws. Lighting Fixtures First 20 ! ADDRESS Q Total No Additional. CITY - Tel No Dat Applica � O`''�^ti \ Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, a makmg t s Certificate f - APPLICANT 0 w!s' Exemption, you should become subject to the Worke s' Range_ Heater_D W Compensation provisions of the Labor Code, you'must forth- Oven —.Dryer W.M — ADDRESS with comply with such provisions or this permit shall be Top FAU . —W H deemed revoked CITY Tel No. Hood Fan _Other LICENSEDCONTRACTORS DECLARATION LICENSE OR, •I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER Class. (commencing with Section 7000).of Division 3 of the Business DISTRICT N PROCESSED BY and Professions Code, and my license is in full force and effect. Power Apparatus& Large Appliances d Size &Type HP, KW, KVA, or KVAR / © L. V License Number Lic Class Up to 1-Incl FINAL Over.1 to 10 Incl DATE +�/.-- OC Contractor Date- 1 VALIDATION Q ElOver 10 to 50 Incl FINAL U I am exempt under Sec. Over 50-to 100 Inc. BY W CL B.&P.0 for this reason Over 100 Z Date- Services, Swbd , MCC & Ponelboards — 0 -200 Amp Under 600 V .1111N. \ Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg. Maint Elect SINGLE FAMILY Temp. Power-Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch"Circuits Law for the following reason (Section 7031 5, Business and Professions Code). _ 27 1 8,3A ❑ I, as owner of theproperty, will do the work and the Misc Conduits &Conductors, #10 o•o•o o 2 structure is not intended or offered for sale (Section - _ Other (See Complete Fee Schedule)_ ► , 7044, Business and Professions Code) 2to o 1 g 25 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for .o,o o 8,2'5'60 the performance of the-work.for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ. C.) _ , 10,2�'-'8 2 ,PLAN CHECKING•FEE Lender's Name r �y PERMIT ISSUING FEE b Lender's Address I certify that 1 have read this application and state that the TOTAL FEE oF above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-me oned property f inspection purposes ` SEE REVERSE-FOR EXPLANATORY LANGUAGE YS. nture of Per ttee Date